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BrightSpring Health Services vs Cigna

BrightSpring Health Services BTSG · Cigna CI · Health Care Services

Cigna reported revenue of $274.9 billion in fiscal 2025, 21.3 times BrightSpring Health Services' $12.9 billion in fiscal 2025. BrightSpring Health Services' revenue grew 28.2% in its latest year, and Cigna's grew 11.2%. BrightSpring Health Services had an operating margin of 2.3%, against 3.4% at Cigna.

Side by side

BrightSpring Health ServicesCigna
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$12.9B$274.9B
Revenue growth28.2%11.2%
Revenue growth a year, last 5 years—11.4%
Gross margin11.8%—
Operating margin2.3%3.4%
Net margin1.5%2.2%
Free cash flow$395M—
Free cash flow margin3.1%—
Return on capital5.2%11.7%
Net debt to EBITDA5.3x1.9x
Dividends and buybacks$43M$5.2B
Change in diluted share count13.9%−5.2%
Last close$58.36$298.28
P/E at the last close35.2×12.3×
Insider trades, last 12 monthssold $1.7 billionbought $999,932, sold $66.8 million
Piotroski F-score7 of 97 of 8
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
BrightSpring Health ServicesCigna
Operating margin
Percent of revenue
BrightSpring Health ServicesCigna
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
BrightSpring Health ServicesCigna

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the BrightSpring Health Services and Cigna pages.